Donation Form

Donation Information

Type of Donation

One Time DonationRecurring Donation

I would like to dedicate this donation

Gift Notes

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First Name

Last Name

Company Name

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Address 2

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Credit Card Information

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Same As Above

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Safe Water Network is a nonprofit organization with tax-exempt status as a public charity under Section 501(c)(3) of the Internal Revenue Code (EIN: 51-0570455). The full amount of your gift is tax deductible. No goods or services were provided in exchange for your donation. This information is provided for the purpose of complying with IRS reporting requirements.

Safe Water Network • 122 E 42nd St #2800, New York, NY 10168 • (212) 355-7233 • [email protected]